A Wildflower Assisted Living and Care Home INC

A revisit survey was completed on 2/12/26 for all previous deficiencies cited on 10/14/25. The facility is in compliance with all deficiencies that were cited. Citation coded "0000" or "9999" are initial and final comments of an inspection for informational purposes, this field may also have been left blank intentionally

A revisit survey was completed on 2/12/26 for all previous deficiencies cited on 10/14/25. The facility is in compliance with all deficiencies that were cited. Citation coded "0000" or "9999" are initial and final comments of an inspection for informational purposes, this field may also have been left blank intentionally

A recertification survey was completed on 10/14/25. A deficiency was cited. Based on record review and interviews, the facility (residence) failed to submit a critical incident report containing all required elements to the member' s (resident' s) case management agency within the required timeframe, for one of six current residents (#6).Findings Include:An incident report dated 9/30/25 at 9:30 p.m., read that Resident #6 was found unresponsive on the floor by the front door, and EMS transported the resident to the hospital. However, the report failed to include:(1) Resident' s Medicaid identification number,(2) Duration of the incident,(3) Location of the incident,(4) Whether the incident was observed directly or reported to the provider,(5) Follow-up action taken or where to locate documentation of follow-up,(6) Name of the person responsible for follow-up,(7) Resolution of the incident.On 10/14/25 at 4:37 p.m., the administrator confirmed staff failed to complete the incident report in its entirety, omitting required elements. She acknowledged the need to educate staff on proper incident reporting requirements. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY. No response is necessary. The facility was advised that it must review and maintain the following processes in accordance with existing program regulations found at 10 CCR 2505-10 Section 8.7000.8.7001.B.3. Additional Criteria for HCBS Settings(a) Provider-Owned or-Controlled Residential Settings must have all of the following qualities and protect all of the following individual rights, based on the needs of the individual as indicated in their Person-Centered Support Plan, subject to the Rights Modification process in Section 8.7001.B.4:(i) The unit or dwelling is a specific physical place that can be owned, rented, or occupied under a legally enforceable agreement by the individual, and the individual has, at a minimum, the same responsibilities and protections from eviction that tenants have under the landlord/tenant law of the State, county, city, or other designated entity. For settings in which landlord/tenant laws do not apply, a lease, residency agreement, or other form of written agreement must be in place for each individual, and the document must provide protections that address eviction processes and appeals comparable to those provided under the jurisdiction' s landlord/tenant law.(1) The lease, residency agreement, or other written agreement must: (..

A relicensure survey was completed on 10/14/25. A deficiency was cited. Based on record review and interviews, the residence failed to document actions taken and ongoing efforts to prevent recurrence of falls, as required by the residence' s fall management policy, affecting one of six current residents (#6).Findings Include:The residence' s undated fall Management and lift assistance policy required staff to complete a fall risk assessment, root cause analysis, and care plan update following each fall, with individualized interventions to reduce future fall risk.The care plan, dated 10/8/21 and updated August 2025, documented that Resident #6 could ambulate safely with a cane for long distances and had no history of falls.A comprehensive assessment, dated 9/16/25, noted "slow/unstable gait" and that Resident #6 "rarely falls (1-2 times per year)" and did not include any new interventions.However, incident reports dated 8/15/25 and 9/30/25 described two separate falls resulting in emergency medical services involvement. Further, neither report included documentation of follow-up actions or new interventions to prevent recurrence.On 10/14/25 at 4:37 p.m., the administrator stated the incident reports were incomplete and lacked follow-up documentation. She acknowledged the residence failed to document actions to prevent recurrence and stated she planned to educate staff on completing the reports fully. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY. No response is necessary. The residence was advised that it must review and maintain the following processes in accordance with existing program regulations found at 6 CCR 1011-1, Chapter 7.11.5 The assisted living residence shall review its resident agreements annually and update or amend them as necessary. Amendments to the resident agreement shall also be signed and dated by both parties.(A) When a change of ownership occurs, the new owner shall either acknowledge and agree to the terms of each existing resident agreement or establish a new agreement with each resident.